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A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors

Primary Purpose

Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC)

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ABBV-927
ABBV-368
ABBV-181
Carboplatin
Nab-paclitaxel
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer focused on measuring Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC), Non-small-cell-lung-cancer (NSCLC), ABBV-927, ABBV-368, ABBV-181, metastatic solid tumors, dose-escalation, recommended phase 2 dose, budigalimab

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Adequate liver, kidney and hematology function as demonstrated by laboratory values detailed in the study protocol.
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Dose-Escalation:

  • Arm A: Participants with an advanced solid tumor who have progressed on standard therapies known to provide clinical benefit and/or participants who have refused or are intolerant of such therapy.
  • Arm B (non-small-cell-lung-cancer [NSCLC]): Participants with histologically or cytologically confirmed NSCLC who previously progressed during or after an anti-programmed cell death (PD)-1 or PD ligand 1 (PD-L1) therapy and a platinum-based regimen in the recurrent or metastatic setting.

Dose-Expansion:

  • Arm 1, 2, and 3 (triple-negative breast cancer [TNBC]): Participants with histologically or cytologically confirmed breast adenocarcinoma that is estrogen receptor/progesterone receptor/human epidermal growth factor receptor (HER)2-negative who must have disease progression during or after at least 1 systemic therapy that included a taxane in the metastatic or recurrent setting and who are treatment-naïve to immunotherapy.
  • Arm 4 (TNBC): Participants with histologically or cytologically confirmed TNBC who have received no previous anti-cancer therapy for TNBC, and who are PD-L1 negative on tumor tissue by immunohistochemistry (IHC) assay.
  • Arm 5 (NSCLC): Participants with histologically or cytologically confirmed NSCLC who previously progressed either during or after an anti-PD-1 or PD-L1 therapy and a platinum-based regimen in the recurrent or metastatic setting.

Exclusion Criteria:

  • Has history of inflammatory bowel disease or pneumonitis.
  • Has uncontrolled metastases to the central nervous system.
  • Has a concurrent malignancy that is clinically significant, treatment is required, or the participant is not clinically stable.
  • Has had a major surgery ≤ 28 days prior to the first dose of study drug or the surgical wound is not fully healed.
  • Has previously treated with an anti-PD- or PD-L1-targeting agent and had during the course of their therapy:
  • any immune-mediated toxicity of Grade 3 or worse severity
  • treatment of the toxicity with systemic corticosteroids
  • any hypersensitivity to the PD-1 or PD-L1-targeting agent
  • any treatment-related toxicity resulting in discontinuation of the PD-1 or PD-L1 targeting agent

Sites / Locations

  • Highlands Oncology Group, PA /ID# 218863
  • St Jude Hospital dba St Joseph /ID# 211130
  • Yale University /ID# 210678
  • Moffitt Cancer Center /ID# 215037
  • Fort Wayne Medical Oncology and Hematology, Inc /ID# 226072
  • Washington University-School of Medicine /ID# 221399
  • Duke Cancer Center /ID# 217641
  • Carolina BioOncology Institute /ID# 210664
  • UPMC Hillman Cancer Ctr /ID# 222747
  • Tennessee Oncology-Nashville Centennial /ID# 221400
  • Mary Crowley Cancer Research /ID# 210716
  • NEXT Oncology /ID# 210717
  • Virginia Cancer Specialists - Fairfax /ID# 210671
  • Icon Cancer Centre /ID# 224084
  • Institut Curie /ID# 223475
  • Institut de Cancérologie de l'Ouest René Gauducheau /ID# 212880
  • Centre Leon Berard /ID# 217910
  • Centre Jean Perrin /ID# 217911
  • AP-HP - Hopital Bichat - Claude-Bernard /ID# 212869
  • The Chaim Sheba Medical Center /ID# 211699
  • Hospital Universitario Vall d'Hebron /ID# 212804
  • Hospital Universitario Fundacion Jimenez Diaz /ID# 212806
  • Hospital Universitario HM Sanchinarro /ID# 212805
  • Hospital Universitario Virgen de la Victoria /ID# 221671
  • China Medical University Hospital /ID# 221090
  • National Taiwan University Hospital /ID# 210993

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose Escalation Arm A: ABBV-927 + ABBV-368 Solid Tumors

Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC

Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC

Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC

Dose Expansion Arm 3: ABBV-927 + Carboplatin TNBC

Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC

Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC

Arm Description

Participants with Solid Tumors will receive various doses of ABBV-927 by intravenous (IV) infusion plus ABBV-368. This will determine the recommended phase two dose (RP2D) of ABBV-927.

Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181.

Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV.

Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV.

Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin by IV.

Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV.

Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV.

Outcomes

Primary Outcome Measures

Dose Expansion: Objective Response Rate (ORR)
ORR is defined as the percentage of participants with either complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368
The RP2D of ABBV-927 + ABBV-368 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data.
Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181
The RP2D of ABBV-927 + ABBV-368 + ABBV-181 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data.

Secondary Outcome Measures

Dose-Expansion Phase: Progression-free Survival (PFS)
PFS is defined as the time from date of first study drug exposure to disease progression or death, whichever occurs first.
Dose-Expansion Phase: Duration of Response (DOR)
DOR defined as the time from the participant's initial response to study drug therapy to disease progression or death, whichever occurs first.
Maximum Serum Concentration (Cmax)
Maximum Serum Concentration (Cmax)
Time to Maximum Observed Serum Concentration (Tmax)
Time to Maximum Observed Serum Concentration (Tmax)
Area Under the Serum Concentration Versus Time Curve from Time 0 to the Time of the Last Measurable Concentration (AUCτ)
Area under the serum concentration versus time curve from time 0 to the time of the last measurable concentration (AUCτ).
Terminal Phase Elimination Half-life (t1/2)
Terminal Phase Elimination Half-life (t1/2)

Full Information

First Posted
March 27, 2019
Last Updated
February 3, 2023
Sponsor
AbbVie
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1. Study Identification

Unique Protocol Identification Number
NCT03893955
Brief Title
A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors
Official Title
A Phase 1, Multicenter, Open-Label Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of Combinations of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Subjects With Locally Advanced or Metastatic Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 21, 2019 (Actual)
Primary Completion Date
November 12, 2023 (Anticipated)
Study Completion Date
November 12, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A study evaluating the safety, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of ABBV-927 with ABBV-368, Budigalimab (ABBV-181) and/or chemotherapy in participants with selected solid tumors. This study consists of 2 main parts, a dose-escalation phase and a dose-expansion phase. The dose-expansion phase can begin once the recommended phase 2 dose/maximum tolerated dose (RP2D/MTD) is determined in the dose-escalation phase.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC), Non-small-cell-lung-cancer (NSCLC), Metastatic Solid Tumors
Keywords
Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC), Non-small-cell-lung-cancer (NSCLC), ABBV-927, ABBV-368, ABBV-181, metastatic solid tumors, dose-escalation, recommended phase 2 dose, budigalimab

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation Arm A: ABBV-927 + ABBV-368 Solid Tumors
Arm Type
Experimental
Arm Description
Participants with Solid Tumors will receive various doses of ABBV-927 by intravenous (IV) infusion plus ABBV-368. This will determine the recommended phase two dose (RP2D) of ABBV-927.
Arm Title
Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC
Arm Type
Experimental
Arm Description
Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181.
Arm Title
Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC
Arm Type
Experimental
Arm Description
Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV.
Arm Title
Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC
Arm Type
Experimental
Arm Description
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV.
Arm Title
Dose Expansion Arm 3: ABBV-927 + Carboplatin TNBC
Arm Type
Experimental
Arm Description
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin by IV.
Arm Title
Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC
Arm Type
Experimental
Arm Description
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV.
Arm Title
Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC
Arm Type
Experimental
Arm Description
Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV.
Intervention Type
Drug
Intervention Name(s)
ABBV-927
Intervention Description
Intravenous (IV) Infusion
Intervention Type
Drug
Intervention Name(s)
ABBV-368
Intervention Description
Intravenous (IV) Infusion
Intervention Type
Drug
Intervention Name(s)
ABBV-181
Other Intervention Name(s)
Budigalimab
Intervention Description
Intravenous (IV) Infusion
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
Intravenous (IV) Infusion
Intervention Type
Drug
Intervention Name(s)
Nab-paclitaxel
Intervention Description
Intravenous (IV) Infusion
Primary Outcome Measure Information:
Title
Dose Expansion: Objective Response Rate (ORR)
Description
ORR is defined as the percentage of participants with either complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
Up to approximately 2 years following the first dose of study drug
Title
Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368
Description
The RP2D of ABBV-927 + ABBV-368 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data.
Time Frame
Up to approximately 6 months
Title
Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181
Description
The RP2D of ABBV-927 + ABBV-368 + ABBV-181 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data.
Time Frame
Up to approximately 6 months
Secondary Outcome Measure Information:
Title
Dose-Expansion Phase: Progression-free Survival (PFS)
Description
PFS is defined as the time from date of first study drug exposure to disease progression or death, whichever occurs first.
Time Frame
Up to approximately 2 years since the first dose of study drug
Title
Dose-Expansion Phase: Duration of Response (DOR)
Description
DOR defined as the time from the participant's initial response to study drug therapy to disease progression or death, whichever occurs first.
Time Frame
Up to approximately 2 years since the first dose of study drug
Title
Maximum Serum Concentration (Cmax)
Description
Maximum Serum Concentration (Cmax)
Time Frame
Up to approximately 12 weeks after participant's initial dose of study drug
Title
Time to Maximum Observed Serum Concentration (Tmax)
Description
Time to Maximum Observed Serum Concentration (Tmax)
Time Frame
Up to approximately 12 weeks after participant's initial dose of study drug
Title
Area Under the Serum Concentration Versus Time Curve from Time 0 to the Time of the Last Measurable Concentration (AUCτ)
Description
Area under the serum concentration versus time curve from time 0 to the time of the last measurable concentration (AUCτ).
Time Frame
Up to approximately 12 weeks after participant's initial dose of study drug
Title
Terminal Phase Elimination Half-life (t1/2)
Description
Terminal Phase Elimination Half-life (t1/2)
Time Frame
Up to approximately 4 weeks after participant's initial dose of study drug

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adequate liver, kidney and hematology function as demonstrated by laboratory values detailed in the study protocol. An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Dose-Escalation: Arm A: Participants with an advanced solid tumor who have progressed on standard therapies known to provide clinical benefit and/or participants who have refused or are intolerant of such therapy. Arm B (non-small-cell-lung-cancer [NSCLC]): Participants with histologically or cytologically confirmed NSCLC who previously progressed during or after an anti-programmed cell death (PD)-1 or PD ligand 1 (PD-L1) therapy and a platinum-based regimen in the recurrent or metastatic setting. Dose-Expansion: Arm 1, 2, and 3 (triple-negative breast cancer [TNBC]): Participants with histologically or cytologically confirmed breast adenocarcinoma that is estrogen receptor/progesterone receptor/human epidermal growth factor receptor (HER)2-negative who must have disease progression during or after at least 1 systemic therapy that included a taxane in the metastatic or recurrent setting and who are treatment-naïve to immunotherapy. Arm 4 (TNBC): Participants with histologically or cytologically confirmed TNBC who have received no previous anti-cancer therapy for TNBC, and who are PD-L1 negative on tumor tissue by immunohistochemistry (IHC) assay. Arm 5 (NSCLC): Participants with histologically or cytologically confirmed NSCLC who previously progressed either during or after an anti-PD-1 or PD-L1 therapy and a platinum-based regimen in the recurrent or metastatic setting. Exclusion Criteria: Has history of inflammatory bowel disease or pneumonitis. Has uncontrolled metastases to the central nervous system. Has a concurrent malignancy that is clinically significant, treatment is required, or the participant is not clinically stable. Has had a major surgery ≤ 28 days prior to the first dose of study drug or the surgical wound is not fully healed. Has previously treated with an anti-PD- or PD-L1-targeting agent and had during the course of their therapy: any immune-mediated toxicity of Grade 3 or worse severity treatment of the toxicity with systemic corticosteroids any hypersensitivity to the PD-1 or PD-L1-targeting agent any treatment-related toxicity resulting in discontinuation of the PD-1 or PD-L1 targeting agent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ABBVIE INC.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Highlands Oncology Group, PA /ID# 218863
City
Springdale
State/Province
Arkansas
ZIP/Postal Code
72762
Country
United States
Facility Name
St Jude Hospital dba St Joseph /ID# 211130
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95403
Country
United States
Facility Name
Yale University /ID# 210678
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
Moffitt Cancer Center /ID# 215037
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612-9416
Country
United States
Facility Name
Fort Wayne Medical Oncology and Hematology, Inc /ID# 226072
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46804
Country
United States
Facility Name
Washington University-School of Medicine /ID# 221399
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Duke Cancer Center /ID# 217641
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710-3000
Country
United States
Facility Name
Carolina BioOncology Institute /ID# 210664
City
Huntersville
State/Province
North Carolina
ZIP/Postal Code
28078
Country
United States
Facility Name
UPMC Hillman Cancer Ctr /ID# 222747
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Tennessee Oncology-Nashville Centennial /ID# 221400
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203-1632
Country
United States
Facility Name
Mary Crowley Cancer Research /ID# 210716
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
NEXT Oncology /ID# 210717
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Virginia Cancer Specialists - Fairfax /ID# 210671
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Facility Name
Icon Cancer Centre /ID# 224084
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Facility Name
Institut Curie /ID# 223475
City
Paris CEDEX 05
State/Province
Ile-de-France
ZIP/Postal Code
75248
Country
France
Facility Name
Institut de Cancérologie de l'Ouest René Gauducheau /ID# 212880
City
St Herblain CEDEX
State/Province
Loire-Atlantique
ZIP/Postal Code
44805
Country
France
Facility Name
Centre Leon Berard /ID# 217910
City
Lyon CEDEX 08
State/Province
Rhone
ZIP/Postal Code
69373
Country
France
Facility Name
Centre Jean Perrin /ID# 217911
City
Clermont Ferrand
ZIP/Postal Code
63011
Country
France
Facility Name
AP-HP - Hopital Bichat - Claude-Bernard /ID# 212869
City
Paris
ZIP/Postal Code
75018
Country
France
Facility Name
The Chaim Sheba Medical Center /ID# 211699
City
Ramat Gan
State/Province
Tel-Aviv
ZIP/Postal Code
5265601
Country
Israel
Facility Name
Hospital Universitario Vall d'Hebron /ID# 212804
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Universitario Fundacion Jimenez Diaz /ID# 212806
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario HM Sanchinarro /ID# 212805
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Hospital Universitario Virgen de la Victoria /ID# 221671
City
Malaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
China Medical University Hospital /ID# 221090
City
Taichung City
ZIP/Postal Code
40447
Country
Taiwan
Facility Name
National Taiwan University Hospital /ID# 210993
City
Taipei City
ZIP/Postal Code
100
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors

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